Organization Active NPI

Walton County Senior Center

  • Home Delivered Meals
  • Monroe, GA
National Provider Identifier
1164599346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
WALTON COUNTY SENIOR CENTER
Practice address
1400 S Madison Ave
Monroe, GA 30655-0764
Phone
(770) 267-6589
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vickie Gasaway
Title
Director
Phone
(770) 267-6589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

1400 S Madison Ave
Monroe, GA 30655-0764

Mailing address

PO Box 764
Monroe, GA 30655-0764

National Provider Directory

National Provider Directory

Locations

1400 S Madison Ave
Monroe, GA 30655
Phone (770) 267-6589

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164599346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306550764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S MADISON AVE",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306550764",
            "telephone_number": "770-267-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON COUNTY SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GASAWAY",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-267-6589"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.